Healthcare Provider Details

I. General information

NPI: 1255703435
Provider Name (Legal Business Name): TROY GIENGER MS, AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2015
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8686 S 1300 E STE 100B
SANDY UT
84094-1947
US

IV. Provider business mailing address

3528 W CRAB APPLE CIR
TAYLORSVILLE UT
84129-2879
US

V. Phone/Fax

Practice location:
  • Phone: 801-871-5831
  • Fax:
Mailing address:
  • Phone: 801-871-5831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number9550497-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: